New Rider Registration Form

New Rider Registration Form

Please complete all sections after speaking with Alicia. Review and acknowledge the policies before submitting. Parent/guardian must complete if rider is under 18. Completing this form DOES NOT guarantee you a lesson spot, an assessment lesson must be booked with Alicia first!
Rider Full Name

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Emergency Contact Name
Emergency Contact Relation
Emergency Contact Cell
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information (Medical conditions, allergies)
Current Riding Experience - have you ridden before? If so, what have you done in lessons?
Riding Waiver Signed
Riding Waiver - Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
OEF Membership Purchased (Required after first 2 lessons)
OEF Number
Rider Current Height (ft)
Rider Current Weight (lbs)
This is to determine a suitable horse/pony. Please note, we cannot accept riders over 220lbs.
I acknowledge I have read and agree to the entire New Rider Agreement, Barn Rules, and Makeup Lesson/Cancellation Policy
Required Equipment
Photo/Media Consent
Print Name
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: